A 22-year-old male with a history of stimulant use presents…
A 22-year-old male with a history of stimulant use presents with psychosis. A key task for the clinician is to differentiate between a primary psychotic disorder and a substance-induced psychotic disorder. Which of the following would most strongly suggest a primary psychotic disorder like schizophrenia?
Read DetailsA 50-year-old woman is prescribed mirtazapine for depression…
A 50-year-old woman is prescribed mirtazapine for depression and insomnia. At a dose of 15 mg, she reports significant sedation and increased appetite. The PMHNP knows this is due to the medication’s potent antagonism of which receptor?
Read DetailsA 25-year-old female reports a lifelong pattern of social in…
A 25-year-old female reports a lifelong pattern of social inhibition and intense fear of rejection. She avoids new relationships unless she is certain of being liked and views herself as socially inept. She longs for connection but is paralyzed by fear. This is most characteristic of which personality disorder?
Read DetailsA 35-year-old woman with Borderline Personality Disorder is…
A 35-year-old woman with Borderline Personality Disorder is in therapy. She reports feeling empty and often engages in superficial cutting to “feel something.” During a session, she describes her new partner as “the most perfect person” she’s ever met, a stark contrast to the previous week when she described him as “a monster.” This rapid shifting between extremes is an example of what defense mechanism?
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